External validation of the SCARE score in identifying acute coronary syndromes during medical regulation of chest pain.

ABSTRACT:

Background

Medical regulation of chest pain is challenging due to the multitude of potential diagnoses. The key challenge is to avoid misdiagnosing acute coronary syndrome while preventing over-triage. The SCARE score (based on age, sex, smoking, typical coronary pain, inaugural pain, sweats, and dispatcher's conviction) classifies patients as low, intermediate, or high risk of acute coronary syndrome. This study aimed to determine the diagnostic performance of the SCARE score among patients calling with chest pain.

Methods

This single-center prospective study was conducted at the Charleville-Mézières Emergency Medical Communication Centre. Data collection included standardized questionnaires and call tape reviews. The SCARE score was compared with final diagnoses from medic

SUBMITTER: Augustine L 

PROVIDER: S-EPMC11786586 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature